Active NPI
Nicholas H Noyes Memorial Hospital
- Clinical Medical Laboratory
- Dansville, NY
National Provider Identifier
1568037141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NICHOLAS H NOYES MEMORIAL HOSPITAL
- Practice address
- 111 Clara Barton St
Dansville, NY 14437-9503 - Phone
- (585) 335-6001
- Fax
- (585) 335-4338
- NPI assigned
- May 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Prunoske
- Title
- Cfo
- Phone
- (585) 335-6001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
111 Clara Barton St
Dansville, NY 14437-9503
Mailing address
111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-6001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00354473 | Other | NY | MEDICAID |
Other names 1
- Nicholas H Noyes Memorial Hospital Laboratory
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0171772 | Nicholas H Noyes Memorial Hosp Lab | Compliance | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Nicholas H Noyes Memorial
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mount Morris, NY
- NPI 1053872762
-
- Internal Medicine Physician
- Dansville, NY
- NPI 1861779449
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Geneseo, NY
- NPI 1912175621
-
- Anesthesiology Physician
- Dansville, NY
- NPI 1487649539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621900800000",
"number": "1568037141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLARA BARTON ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379503",
"telephone_number": "585-335-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLARA BARTON ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379503",
"telephone_number": "585-335-6001",
"fax_number": "585-335-4338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS H NOYES MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-13",
"status": "A",
"authorized_official_last_name": "PRUNOSKE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "585-335-6001"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "00354473",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nicholas H Noyes Memorial Hospital Laboratory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.